Individual provider Active NPI

Matthew Ihn Seong Whang, MD

  • Urology Physician
  • West Orange, NJ
National Provider Identifier
1295883312
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA05925800 Issued in NJ
Practice address
1001 Pleasant Valley Way
West Orange, NJ 07052-1426
Phone
(973) 669-8448
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 59258 NJ
Urology Physician 208800000X 25MA05925800 NJ Primary

Addresses

Primary practice location

1001 Pleasant Valley Way
West Orange, NJ 07052-1426

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other identifiers 1

IdentifierTypeStateIssuer
59258OtherNJMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000078 NJ Practitioner - Urology 2062589898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05925800NJMDUrology Physician
59258NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Urology LLC Urology CurrentSince Oct 1, 2016 Accepting new patients
Modern Urology Urology Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

777 Bloomfield Ave
Glen Ridge, NJ 07028
Phone (973) 429-0462

1001 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 669-8448

741 Northfield Ave
Ste 206
West Orange, NJ 07052
Phone (973) 325-6100

Interoperability endpoints

  • Direct secure messaging: mwhang@nj-urology.gwaydirect.com
  • Direct secure messaging: matthew.whang.1@5580.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295883312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521426",
            "telephone_number": "973-669-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHANG",
        "first_name": "MATTHEW",
        "middle_name": "IHN SEONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "59258",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA05925800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "59258",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.